Minato Izumi
Department of Orthopedics, Niigata Rinko Hospital.
Clin Calcium. 2011 Mar;21(3):474-6.
In the guidelines for the treatment of femoral neck fracture, prosthetic replacement is recommended in displaced one and internal fixation is in undisplaced one. However, in the long view, survived femoral head after internal fixation can be superior to prosthesis which will deteriorate as time goes by. Surgical method should be considered not only by type of fracture but general status of the patient.
在股骨颈骨折治疗指南中,对于移位型骨折推荐采用假体置换,而对于无移位型骨折则采用内固定。然而,从长远来看,内固定后存活的股骨头可能优于假体,因为假体会随着时间推移而退变。手术方法不仅应根据骨折类型来考虑,还应考虑患者的一般状况。